Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 50.4.1.2
Routine Supplies (Nonreportable)
50.4.1.2 - Routine Supplies (Nonreportable)
(Rev. 10438, Issued: 11-06-20, Effective: 03-01-20, Implementation: 01- 11-21)
Routine supplies are supplies that are customarily used in small quantities during the
course of most home care visits. They are usually included in the staff's supplies and not
designated for a specific patient. These supplies are included in the cost per visit of home
health care services. Routine supplies would not include those supplies that are
specifically ordered by the physician or allowed practitioner or are essential to HHA
personnel in order to effectuate the plan of care.
Examples of supplies which are usually considered routine include, but are not limited to:
A. Dressings and Skin Care
•
Swabs, alcohol preps, and skin prep pads;
•
Tape removal pads;
•
Cotton balls;
•
Adhesive and paper tape;
•
Nonsterile applicators; and
•
4 x 4's.
B. Infection Control Protection
•
Nonsterile gloves;
•
Aprons;
•
Masks; and
•
Gowns.
C. Blood Drawing Supplies
•
Specimen containers.
D. Incontinence Supplies
• Incontinence briefs and Chux Covered in the normal course of a visit. For
example, if a home health aide in the course of a bathing visit to a patient
determines the patient requires an incontinence brief change, the incontinence
brief in this example would be covered as a routine medical supply.
E. Other
•
Thermometers; and
•
Tongue depressors.
There are occasions when the supplies listed in the above examples would be considered
nonroutine and thus would be considered a billable supply, i.e., if they are required in
quantity, for recurring need, and are included in the plan of care. Examples include, but
are not limited to, tape, and 4x4s for major dressings.